Organization
DAVID E EISENBERG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ELLIS EISENBERG MD (MEDICAL DOCTOR)
(617) 884-0456
Entity
Organization
Contact information
Practice address
111 EVERETT AVE, STE 2C, CHELSEA, MA 02150
(617) 884-0456
(617) 884-0457
Mailing address
111 EVERETT AVE, STE 2C, CHELSEA, MA 02150
(617) 884-0456
(617) 884-0457
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15163
HARVARD PILGRIM
MA
05
—
9746595
—
MA
Enumeration date
07/16/2006
Last updated
11/30/2016
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